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They never drink or have cheat meals? Alot of people forget about the intake with this, or how much it works out to be(adds up quickly)

When people eat very little calories on a daily basis, the metabolism slows down. It is a defence mechanism, the body will retain more fat, cause that protects the internal organs, and muscle tissue will be not as important to keep, cause of its caloric requirements.

It isn't as easy as just eating more, and more frequently to correct this. It will come down to how long have they been eating like this. Have they had and blood tests or there thyroid checked? This is something that needs to be gradually addressed.

Really there is no simple solution, it took a long time to get in the position they are in, and will take a while to correct the damage they have done.

Woman 1, she hardly ever drinks alcohol (unless I am there), but never drinks water either. She hardly ever eats and I mean ANY food. I dont see snacks, McDonalds, fucking nothing. The only time I saw her eat is when we would go to a restaurant. This woman walked 30 min 3 x a week. Her job had a range of sitting at a desk, walking, going up and down stairs, being stressed. This woman has no kids.

Woman 2, same thing as Woman 1, but she said she does drink wine almost every night. She walks and jogs. Her job hardly asks for her to sit and this is about 8 hours a day. The food Ive seen her eat is a full lunch but her dinner is "small" and her breakfast is "a mug of coffee." She said she used to be anorexic when she was 18. All in all, this one eats and drinks more than Woman 1, yet is smaller than Woman 1.

Its just sort of mind boggling, but thanks Iain. Yes, a lot of that makes sense, but I wish I could give something other than bad news to them.

For what its worth, I just couldnt see how they could maintain their weight, but rather gain or lose weight.

Woman 2, same thing as Woman 1, but she said she does drink wine almost every night. She walks and jogs. Her job hardly asks for her to sit and this is about 8 hours a day. The food Ive seen her eat is a full lunch but her dinner is "small" and her breakfast is "a mug of coffee." She said she used to be anorexic when she was 18. All in all, this one eats and drinks more than Woman 1, yet is smaller than Woman 1.

Its just sort of mind boggling, but thanks Iain. Yes, a lot of that makes sense, but I wish I could give something other than bad news to them.

Metabolic damage from eating disorders doesn't just go away; of course, in this case, it doesn't necessarily seem as though the behaviors are totally gone either.

have them write down exactly what they eat everyday. have them carry around a journal and log everything they eat and drink for a few days and then count their calories. People under-report calories typically by 30%.